PIONEER FAMILY PRACTICE PLLC

Is this your business?

Get access!

Company Details

Legal Name:	PIONEER FAMILY PRACTICE PLLC
Jurisdiction:	WASHINGTON
Entity Type:	WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category:	DOMESTIC ENTITY
Status:	Active
Formation/ Registration Date:	February 15th 2001
Expiration date:	28 Feb 2026
UBI Number:	602 099 009
ZIP code:	98503
City:	Lacey
County:	THURSTON
Home State:	WASHINGTON
Principal Office Street Address:	5130 CORPORATE CENTER CT SE, LACEY, WA, 98503-5957, UNITED STATES
Supporting healthcare providers fighting with COVID-19:	$36,697

Contact Details

E-Mail:	CJOHNSON@PIONEERFAMILYPRACTICE.COM
Phone Number:	+1 360-413-8600

Nature of Business

Health Care, Social Assistance & Service Organization

Reviews Leave a review

Be the first to leave a review!

Registered Agent Information

Name	Role	Address
BEAN, GENTRY, WHEELER & PETERNELL, PLLC	Registered Agent	910 LAKERIDGE WAY SW, OLYMPIA, WA, 98502-0000, UNITED STATES

Key Officers & Management

Name	Role	Address
YAN GENG	Governing Person	-
DEVIN SAWYER	Governing Person	-
JENNIFER PLAYSTEAD	Governing Person	5130 CORPORATE CENTER CT, LACEY, WA, 98503, UNITED STATES
LUCINDA GRANDE	Governing Person	5130 CORPORATE CENTER CT, LACEY, WA, 98503, UNITED STATES
EDWARD CATES	Governing Person	5130 CORPORATE CENTER CT, LACEY, WA, 98503, UNITED STATES
CRIS JOHNSON	Governing Person	5130 CORPORATE CENTER CT, LACEY, WA, 98503, UNITED STATES

National Provider Identifier

NPI Number:

1205965365

Link:

View on NPI website

Authorized Person:

Name:

DIANE M TAYLOR

Role:

BUSINESS MANAGER

Phone:

3604138617

Taxonomy:

Selected Taxonomy:

207Q00000X - Family Medicine Physician

Is Primary:

Yes

Contacts:

Phone:

+1 360-413-8600

Fax:

3604138822

Form 5500 Series

Employer Identification Number (EIN):

912104254

Plan Year:

2023

Number Of Participants:

34

Plan Name:

RETIREMENT PLAN

Sponsor's telephone number:

3604138600

File:

Plan Year:

2022

Number Of Participants:

30

Plan Name:

RETIREMENT PLAN

Sponsor's telephone number:

3604138600

File:

Plan Year:

2021

Number Of Participants:

29

Plan Name:

RETIREMENT PLAN

Sponsor's telephone number:

3604138600

File:

Plan Year:

2020

Number Of Participants:

29

Plan Name:

RETIREMENT PLAN

Sponsor's telephone number:

3604138600

File:

Plan Year:

2019

Number Of Participants:

29

Plan Name:

RETIREMENT PLAN

Sponsor's telephone number:

3604138600

File:

Paycheck Protection Program

Jobs Reported:

12

Initial Approval Amount:

$95,161.57

Date Approved:

2020-04-10

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$80,000

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Unanswered

Veteran:

Unanswered

Forgiveness Amount:

$80,388.89

Servicing Lender:

Commencement Bank

Use of Proceeds:

Payroll: $80,000

Related by address

5130 CORPORATE CENTER CT SE, LACEY, WA, 98503-5957, UNITED STATES

PIONEER CLINIC PROPERTY, LLC.

See something incorrect or outdated? Let us know